JONATHAN E ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185939

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

ANDERSEN

Business Name

JONATHAN E ANDERSEN

Original Issue Date

08/05/2008

Effective Date

08/05/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009